**Executive Summary**
This document is a response to Lok Sabha Unstarred Question No. 1205 regarding the Nutrition and Health Programme for Women and Children, specifically focusing on aspirational districts like Shravasti and Balrampur in Uttar Pradesh. It outlines the government's initiatives to address malnutrition, anaemia, and related issues through various schemes and programs, as of February 6, 2026. It covers programs like Poshan Abhiyaan, Mission Poshan 2.0, Anemia Mukt Bharat, and others.
**Key Points / Main Content**
* **Data on Malnutrition and Anemia:**
* Poshan Tracker Application data on malnutrition among children under five in Shravasti and Balrampur is available online.
* Prevalence of anaemia among women and children in Shravasti and Balrampur, as per National Family Health Survey-5 (2019-21) showed that Balrampur had higher rates of anaemia (75.4% in children aged 6-59 months) than the national average (67.1%), while Shravasti was at 61.2%.
* For non-pregnant women aged 15-49 years, the national average was 57.2%, Balrampur at 54.8% and Shravasti at 44.6%.
* National average for school dropout is 0.3% in primary level (Class 1-5), 3.5% in upper primary and 11.5% in secondary level.
* **Mission Poshan 2.0:**
* Anganwadi services, Poshan Abhiyaan, and Scheme for Adolescent girls have been subsumed under Mission Saksham Anganwadi and Poshan 2.0.
* Objectives include contributing to human capital development, addressing malnutrition, and promoting nutrition awareness.
* Poshan Tracker Application is implemented for monitoring and tracking of AWCs, AWWs and beneficiaries.
* New strategy for reduction in malnutrition and improved health through activities like community engagement and behavioral change.
* Focuses on Maternal Nutrition, Infant and Young Child Feeding Norms, treatment of Severe Acute Malnutrition (SAM)/ Moderate Acute Malnutrition (MAM).
* Supplementary nutrition is provided to Children (6 months to 6 years), Pregnant Women, Lactating Mothers and Adolescent Girls.
* **Supplementary Nutrition Norms Revision:**
* The norms were revised in January 2023, becoming more comprehensive and balanced in terms of quantity and quality.
* Supplementary nutrition is based on the principles of diet diversity providing for protein, fats, and micronutrients.
* **Other Initiatives:**
* Fortified rice is being supplied to AWCs to meet micronutrient requirements and control anaemia.
* Emphasis on using millets at least once a week for Hot Cooked Meals and Take-Home rations at Anganwadi Centers.
* Community Mobilization and Awareness Advocacy is undertaken to educate people on nutritional aspects.
* Anganwadi workers are required to conduct two Community Based Events every month.
* **Ministry of Health and Family Welfare Initiatives:**
* Implements the Reproductive, Maternal, Newborn, child, Adolescent Health and Nutrition (RMNCAH+N) strategy.
* Includes interventions to address nutrition concerns among adolescent girls, pregnant women, lactating mothers and children under 5 years.
* **Specific Programs under NHM:**
* **Anemia Mukt Bharat (AMB):** Aims to reduce anaemia through interventions like IFA supplementation, deworming, behavioral change campaigns, anaemia testing, and IFA fortified food.
* **Nutrition Rehabilitation Centers (NRCs):** Provide inpatient medical and nutritional care to children under 5 years suffering from malnutrition.
* **Mothers' Absolute Affection (MAA):** Improves breastfeeding coverage and complementary feeding practices.
* **National Deworming Day (NDD):** Administers albendazole tablets to reduce worm infestation.
* **Village Health Sanitation and Nutrition Days (VHSNDs):** Observed for provision of maternal and child health services and creating awareness on maternal and childcare.
* **Pradhan Mantri Matru Vandana Yojana (PMMVY):** Provides cash incentives to beneficiaries via Direct Benefit Transfer (DBT) for the first child. An amount of ₹31,744 has been paid to beneficiaries in Shravasti and 77,979 in Balrampur.
* **Initiatives for Women Empowerment:**
* **Shakti Sadan Scheme:** Integrated Relief and Rehabilitation Home for women in distress situations.
* **Sakhi Niwas Scheme:** Demand-driven scheme provides funds to states/UTs for working women hostels.
* **Anganwadi cum Creche (Palna):** Provides day care facilities and protection to children of working mothers.
**Impact Analysis**
**Stakeholder**: Women and Children in Aspirational Districts (Shravasti and Balrampur)
**Impact:** Access to improved nutrition, healthcare, and empowerment opportunities through various schemes and programs aimed at reducing malnutrition, anaemia, and improving overall well-being.
**Action Required:** To utilize and benefit from the available services and programs offered through Anganwadi centers, healthcare facilities, and other government initiatives.
**Stakeholder:** Anganwadi Workers (AWWs)
**Impact:** Increased responsibility in implementing and monitoring various nutrition and health programs, including conducting community-based events and using the Poshan Tracker Application.
**Action Required:** Conduct two Community Based Events every month, utilize the Poshan Tracker Application for monitoring, and promote community awareness and participation in nutrition and health programs.
**Stakeholder:** State Governments/UTs
**Impact:** Responsibility for implementing various centrally sponsored schemes and programs, including assessing local needs and proposing plans for approval.
**Action Required:** Effectively implement and monitor various schemes, assess local needs, propose plans for approval, and ensure funds are utilized efficiently for the benefit of women and children.
Key Entities Referenced
Mission Saksham Anganwadi and Poshan 2.0: A Centrally Sponsored Mission addressing malnutrition and promoting nutrition awareness, encompassing Anganwadi services, Poshan Abhiyaan, and the Scheme for Adolescent Girls.
Ministry of Women and Child Development: The central ministry responsible for the policy's subject matter, programs, and initiatives concerning nutrition and health for women and children.
National Food Security Act, 2013: Referenced for nutrition norms used to provide supplementary nutrition under Mission Poshan 2.0
Pradhan Mantri Matru Vandana Yojana (PMMVY): A Centrally Sponsored Maternity Benefit Scheme implemented across the country providing cash incentives to beneficiaries.
Uttar Pradesh: The state specifically mentioned where aspirational districts Shravasti and Balrampur are located and analyzed in the policy
GOVERNMENT OF INDIA
MINISTRY OF WOMEN AND CHILD DEVELOPMENT
LOK SABHA
UNSTARRED QUESTION NO: 1205
TO BE ANSWERED ON 06.02.2026
NUTRITION AND HEALTH PROGRAMME FOR WOMEN AND CHILDREN
1205. SHRI RAM SHIROMANI VERMA:
Will the Minister of Women and Child Development be pleased to state:
(a) whether the rate of malnutrition, anaemia/school dropout among women and children
is higher than the National average in aspirational districts like Shravasti and Balrampur
of Uttar Pradesh, if so, the details thereof;
(b) whether the implementation of Anganwadi centres, nutrition tracker, supplementary
nutrition and maternity benefit schemes is satisfactory in these districts, if so, details
thereof and if not, the reasons therefor;
(c) whether any special nutrition/health programme is being run by the Government for
adolescent girls, pregnant women and lactating mothers in the said areas, if so, the
details thereof; and
(d) whether the Government has any proposal to provide additional resources, manpower/
special packages for women empowerment, child protection and malnutrition
eradication in the aspirational districts, if so, the details thereof?
ANSWER
MINISTER OF WOMEN AND CHILD DEVELOPMENT
(SHRIMATI ANNPURNA DEVI)
(a) to (d): The Poshan Tracker Application data of malnutrition among those children under
five in the aspirational districts like Shravasti and Balrampur of Uttar Pradesh, who attended
Anganwadi Centres (AWCs) or received Anganwadi services at home is available at:
https://www.poshantracker.in/statistics
Prevalence of anemia among women and children in Shravasti and Balrampur districts as per
National Family Health Survey-5 (2019-21) is placed below:
Indicator National Balrampur Shravasti
Average
Children aged 6-59 months who are anemic (<l1.0 g/dl) 67.1 75.4 61.2
(%)Non-pregnant women aged 15-49 years who are 57.2 54.8 44.6
anemic (<12.0 g/dl) (%)
National Average for school dropout is 0.3 in primary level (Class 1-5), 3.5 in upper primary
and 11.5 in Secondary level (Class 9-10).
To address the challenge of malnutrition, Anganwadi services, Poshan Abhiyaan and Scheme
for Adolescent girls (of 14-18 years in Aspirational Districts and North-Eastern region) have
been subsumed under the umbrella Mission Saksham Anganwadi and Poshan 2.0 (Mission
Poshan 2.0). It is a Centrally Sponsored Mission where the responsibility for implementation
of various activities lies with the States and UTs. This Mission includes beneficiaries; Children
under 6 years of age, pregnant women, lactating mothers and adolescent girls (14-18 years, in
Northeastern States and Aspirational Districts) of the country. The objectives of Mission are to
contribute to development of human capital in the country, to address challenge of malnutrition
and to promote nutrition awareness and good eating habits for sustainable health and wellbeing.
Relevance of Poshan Abhiyaan has been found satisfactory for tackling malnutrition in the
country in a survey conducted by the World Bank a survey on Poshan Abhiyaan in 11 priority
states and also in third party evaluation and impact assessment done by NITI Aayog in 2020
and 2025. The Poshan Tracker Application has been implemented for monitoring and tracking
of all AWCs, AWWs and beneficiaries on defined indicators of stunting, wasting, under-weight
prevalence among children. The App also offers counselling videos on key behaviours and
services which help disseminate messages on birth preparedness, delivery, post-natal care,
breastfeeding, and complementary feeding. Poshan Tracker Application data including district
wise details of the State of Uttar Pradesh are available at:
https://www.poshantracker.in/statistics
Under Mission Poshan 2.0, a new strategy has been made for reduction in malnutrition and for
improved health, wellness and immunity through activities like community engagement,
outreach, behavioural change and advocacy. It focuses on Maternal Nutrition, Infant and
Young Child Feeding Norms, treatment of Severe Acute Malnutrition (SAM)/ Moderate Acute
Malnutrition (MAM) and wellness through AYUSH practices to reduce prevalence of wasting,
stunting, anaemia and being underweight.
Under this Mission, Supplementary Nutrition is provided to Children (6 months to 6 years),
Pregnant Women, Lactating Mothers and Adolescent Girls to break the intergenerational cycle
of malnutrition by adopting a life cycle approach. It is provided in accordance with the nutrition
norms contained in Schedule-II of the National Food Security Act, 2013. These norms have
been revised in January 2023. The old norms were largely calorie-specific; however, the
revised norms are more comprehensive and balanced in terms of both quantity and quality of
supplementary nutrition based on the principles of diet diversity that provides for quality
protein, healthy fats and micronutrients (Calcium, Zinc, Iron, Dietary Folate, Vitamin A,
Vitamin-B6 and Vitamin B-12).Further, Fortified rice is being supplied to AWCs to meet the requirement of micro-nutrients
and to control anaemia among women and children. Greater emphasis is being laid on the use
of millets at least once a week for preparation of Hot Cooked Meal and Take-Home ration at
Anganwadi Centers.
Under this Mission, one of the major activities undertaken is Community Mobilization and
Awareness Advocacy to educate people on nutritional aspects as adoption of good nutrition
habit requires sustained efforts for behavioural change. State and UTs are conducting and
reporting regular sensitisation activities under Jan Andolans during Poshan Maah and Poshan
Pakhwada celebrated in the months of September and March-April respectively. Community
Based Events (CBEs) have served as a significant strategy in changing nutritional practices and
all Anganwadi workers (AWWs) are required to conduct two Community Based Events every
month.
The Ministry of Health and Family Welfare implements Reproductive, Maternal, Newborn,
child, Adolescent Health and Nutrition (RMNCAH+N) strategy in a life cycle approach under
National Health Mission (NHM), which includes interventions to address nutrition concerns
among adolescent girls, pregnant women, lactating mothers and children under 5 years, across
the country including aspirational districts. Details are placed below:
• Anemia Mukt Bharat (AMB) strategy is implemented to reduce prevalence of anemia
among children and women in life cycle approach through implementation of six
interventions; Prophylactic Iron and Folic Acid supplementation (IFA Syrup is
provided biweekly to children 6-59 months, and IFA Red tablets are provided weekly
to women of reproductive age), Deworming, Intensified behavioral change
communication campaign, Testing for anemia and treatment as per protocols,
mandatory provision of IFA fortified food in public health programmes and addressing
non nutritional causes of anemia via robust institutional mechanism.
• Nutrition Rehabilitation centers (NRCs) are set up at public health facilities to
provide in-patient medical and nutritional care to children under 5 years suffering from
Moderate and Severe Acute Malnourishment with medical complications with special
focus on improving the skills of mothers and caregivers on timely, adequate and
appropriate feeding for children.
• Mothers' Absolute Affection (MAA) Programme is implemented to improve
breastfeeding coverage and age-appropriate complementary feeding practices by
building an enabling environment through awareness generation activities.
• Under National Deworming Day (NDD) albendazole tablets are administered in a
single fixed day approach via schools and Anganwadi centers in two rounds (February
and August) to reduce the worm infestation among all children and adolescents (1-19
years).
• Village Health Sanitation and Nutrition Days (VHSNDs) are observed for provision
of maternal and child health services and creating awareness on maternal and childcare
including nutrition in convergence with Ministry of Women and Child Development.The Ministry of Women and Child Development is implementing Pradhan Mantri Matru
Vandana Yojana (PMMVY) across the country w.e.f. 01.01.2017. The PMMVY is a Centrally
Sponsored Maternity Benefit Scheme under which cash incentives of ₹5,000/- is provided to
the beneficiary as Direct Benefit Transfer (DBT) mode for first child. The eligible beneficiaries
receive the remaining cash incentive, as per approved norms towards maternity benefit under
Janani Suraksha Yojana after institutional delivery, so that on an average a woman gets ₹6,000/.
Further, cash incentive of ₹6,000/- is also provided to eligible beneficiaries for second child
subject to the second child being a girl”. The number of beneficiaries paid since the inception
of the scheme till 01.02.2026 are 31,744 in Shravasti and 77,979 in Balrampur districts of Uttar
Pradesh.
The Ministry has taken various steps for women empowerment in the country including all
Aspirational Districts which are placed below:
Shakti Sadan Scheme: Under the overarching ‘Mission Shakti’, erstwhile schemes of
‘Swadhar Greh’ for Women in difficult circumstances and ‘Ujjawala Home’ for Prevention of
Trafficking, have been merged and named ‘Shakti Sadan Scheme’, which is an Integrated
Relief and Rehabilitation Home for women in distress situations including trafficked
women. It aims at creating a safe and enabling environment for the women in distress
situations, to enable them to overcome the difficult circumstances. Presently, 413 Shakti
Sadans are functional benefiting about 13,000 women across the country.
Sakhi Niwas Scheme: Sakhi Niwas Scheme (Working Women Hostel) under the overarching
Mission Shakti, is a demand driven Centrally Sponsored Scheme, under which funds are
released directly to the States/UTs for implementation of the scheme. The States/UTs assess
their requirement as per local needs and proposals are approved by the Programme Approval
Board (PAB) after discussion with States/UTs. The scheme aims to promote availability of safe
and conveniently located accommodation for working women in urban, semi-urban and in rural
areas where employment opportunity for women exists. Presently, 560 Sakhi Niwas are
functional benefiting about 25,855 women across the country.
Anganwadi cum Creche (Palna): The Ministry has introduced Palna Scheme under the
Samarthya Vertical of Umbrella Mission Shakti for all States and UTs w.e.f. 1st April, 2022 to
provide day care facilities and protection to children. To address these difficulties faced by the
working mothers in giving due childcare and protection to their children, day-care crèche
facilities are being provided through Palna Scheme. Crèche services formalise the childcare
responsibilities hitherto considered as part of domestic work. As on 31.01.2026, a total of
14,599 more Anganwadi-cum-Creches (AWCCs) are approved and out of them, 2820 AWCCs
are functional across the country.
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